(Single Best Answer) Question 161: Out of the following, select the histologic type of cancer endometrium which has the worst prognosis ?
A) Mucinous adeno carcinoma B) Well differentiated endometrioid adeno carcinoma C) Clear cell carcinoma D) Papillary serous carcinoma Answer (Select an option above to get the answer):
(Single Best Answer) Question 162: A parous woman notices a bulge at the vulva that diminishes in size following micturition. She also finds it difficult to initiate micturition. What is the likely diagnosis ?
A) Uterine prolapse B) Fibroid polyp C) Cystocoele D) Congenital elongation of cervix Answer (Select an option above to get the answer):
(Single Best Answer) Question 163: An 18-year-old girl presents with primary amenorrhoea and gives a history of cyclical colicky abdominal pain. The most probable diagnosis is ?
A) Ovarian cyst B) Encysted tuberculosis C) Full bladder D) Haematocolpos Answer (Select an option above to get the answer):
(Single Best Answer) Question 164: A 20-year-old married woman anxious to get pregnant has cyclical cramps and sharp lower abdominal pain which lasts for 3 days starting from the day of her menstrual flow. Her menstrual periods are regular but heavy. On clinical examination, her pelvis is normal. The most probable diagnosis is ?
A) Uterine leiomyomata B) Endometriosis C) Primary dysmenorrhoea D) Adenomyosis Answer (Select an option above to get the answer):
A) It is a cyclic bleeding B) The cycle is reduced to an arbitrary limit of 21 days or less C) It is seen more frequently at the ends of reproductive life D) If epimenorrhoea is associated with heavy menstrual loss it is called menometrorrhagia Answer (Select an option above to get the answer):
(Single Best Answer) Question 166: In a patient of dysfunctional uterine bleeding with cyclical menorrhagia, the first line drug is ?
A) Transexamic acid B) Progesterone C) Oestrogen D) Oestrogen and progesterone Answer (Select an option above to get the answer):
(Single Best Answer) Question 167: The pelvic examination of a woman reveals that the cervix is directed forwards, the body is backward, but it an be anteposed easily. The examination does not demonstrate any other abnormality. The most probable diagnosis is ?
A) Posterior wall tumour of the uterus B) An ovarian cyst in the pouch of Douglas C) Pelvic endometriosis D) Retroverted uterus Answer (Select an option above to get the answer):
(Single Best Answer) Question 168: A 20-year-old young woman, who was delivered two months ago at home by a nurse, presents with a complaint of something protruding through the vulva. The clinical examination reveals a cystocoele, rectocoele, and the cervix 1 cm above the introitus. The most appropriate management will be ?
A) Anterior colporrhaphy, posterior colpoperineorrhaphy and perineal repair B) Fothergills operation C) Pessary D) Sling operation Answer (Select an option above to get the answer):
Which of the following are the features of backache due to genital prolapse ?
1. The pain is experienced on getting up in the morning
2. The patient complaints of a diffuse pain over the sarcum
3. There is no local tenderness
4. The pain occurs more commonly among multiparous than nulliparous women
Select the correct answer using the code given below:
A) 1 and 4 B) 1 and 2 only C) 1, 2 and 3 D) 2, 3 and 4 Answer (Select an option above to get the answer):
(Single Best Answer) Question 170: A woman who is being investigated for infertility is diagnosed to have a nulliparous prolapse of the uterus. The most appropriate management will be ?
A) Ring pessary B) Fothergill repair C) Sling operation D) Cervical amputation Answer (Select an option above to get the answer):